经曰。风者百病之始。善行而数变。行者动也。风本为热。热胜则风动。宜以静胜其躁。是养
血也。治须少汗。亦宜少下。多汗则虚其卫。多下则损其荣。汗下各得其宜。然后宜治其在经。虽
有汗下之戒。而有中脏中腑之分。中腑者宜汗之中。脏者宜下之。此虽合汗下。亦不可过也。仲景
云。汗多则亡阳。下多则亡阴。亡阳则损气。亡阴则损形。故经言血气者人之神。不可不谨养也。
初谓表里不和须汗下之。表里已和。是宜治之在经也。其中腑者。面颜显五色。有表证而脉浮。恶
风恶寒。拘急不仁。或中身之后。或中身之前。或中身之侧。皆曰中腑也。其病多易治。其中脏者
。唇吻不收。舌不转而失音。鼻不知香臭。耳聋而眼瞀。大小便秘结。皆曰中脏也。其病则难治。
经曰。六腑不和。留结为痈。五脏不和。九窍不通。外无留结为痈。内无九窍不通。知必在经也。
初证既定。宜以大药养之。当须按时令而调阴阳。安脏腑而和荣卫。少有不愈者也。风中腑者。先
以加减续命汤随证发其表。如忽中脏。则大便多秘涩。宜以三化汤通其滞。表里证已定。别无变
端。故以大药和而治之。大抵中腑者多着四肢。中脏者多滞九窍。虽中腑者多兼中脏之证。至于舌
强失音。久服大药。能自愈也。有中风湿者。夏月多有之。其证身重如山。不能转侧。宜服除风胜
湿去热之剂。如
不可。则用针灸治之。今其六经续命汤治法。
【小续命汤】通治八风五痹痿厥等疾。以一岁为总。六经为别。春夏加石膏、知母、黄芩
。秋冬加官桂、附子、芍药。又于六经别药内。随证细分加减。自古名医。不能越此。
麻黄（去节） 人参（去芦） 黄芩（去腐） 芍药
甘草（炙） 川芎 杏仁（去皮尖。炒） 防己
官桂（各一两） 防风（一两半） 附子（炮去皮脐。半两）
上十一味。除附子、杏仁外。为粗末。后入二味和匀。每服五钱。水一盏半。生姜五片。煎至
一盏。去滓。稍热服。食前。
凡治中风。不审六经之形证加减。虽治与不治无异也。内经云。腠理开则淅然寒。闭则热而闷。知
暴中风邪。宜先以加减续命汤药证治之。若中风无汗恶寒。麻黄续命汤主之。
于本方中加麻黄、防风、杏仁一倍。宜针太阳经至阴、出血、昆仑、举跷。中风有汗恶风。桂枝
续命汤主之。
于本方中加桂枝、芍药、杏仁一倍。宜针风府。以上二证。皆太阳经中风也。中风无汗。身热不
恶寒。白虎续命汤主之。
于本方中加石膏（二两）。知母（二两）。甘草（一两）。
中风有汗。身热不恶风。葛根续命汤主之。
于本方中加葛根（二两）。桂枝黄芩各一倍。宜针陷谷、刺厉兑。针陷谷者。去阳明之贼邪。刺
厉兑者。泻阳
明之实热。以上二证。皆阳明经中风也。
中风无汗身凉。附子续命汤主之。
于本方中加附子一倍。干姜加（二两）。甘草加（三两）。宜针隐白。去太阴之贼邪。此一证。
太阴经中风也。
中风有汗无热。桂枝附子续命汤主之。
于本方中加桂枝、附子、甘草一倍。宜针太溪。此一证。少阴经中风也。
凡中风无此四经六证混淆。系于少阴厥阴。或肢节挛痛。或麻木不仁。宜羌活连翘续命汤主之。
于本方中加羌活（四两）。连翘（六两）
上古之续命。混淆无别。今立分经治疗。又分各经针刺。无不愈也。治法厥阴之井大敦。刺以通
其经。少
阳之经绝骨。灸以引其热。此通经引热。是针灸同象。治法之大体也。
【大秦艽汤】治中风外无六经之形证。内无便溺之阻隔。是知为血弱不能养于筋。故手
足不能运动。舌
强不能语言。宜此药养血而筋自荣也。
秦艽 石膏（各二两） 甘草 川芎
当归 芍药 羌活 独活
防风 黄芩 白术 白芷
茯苓 生地黄 熟地黄（各一两） 细辛（半两）
上十六味。 咀。每服一两。水二盏。煎至一盏。去滓。温服。无时。如遇天阴。加生姜七片
煎。如心下痞。每服一两加枳实一钱煎。此秋冬药。如春夏。加知母一两。凡中风外有六经之形证
。先以加减续命汤。随证治之。内有便溺之阻隔。复以三化汤导之。
【三化汤】
浓朴（姜制） 大黄 枳实 羌活（各等分）
上四味 咀。每服三两。水三升。煎至一升半。终日服。以微利则已。若内邪已除。外邪已
尽。当服愈风汤。以行中道。久服大风悉去。纵有微邪。只从愈风汤加减治之。然治病之法。不可
失于通塞。或一气之微汗。或一旬之通利。如此乃常治之法也。久之清浊自分。荣卫自和矣。
【羌活愈风汤】疗肾肝虚。筋骨弱。语言难。精神昏愦。是中风湿热内弱者。是为风热体
重也。或瘦而臂肢偏枯。或肥而半身不遂。或恐而健忘。喜以多思。思忘之道。皆精不足也。故心
乱则百病生。心静则万病息。是以此药能安心养神。调阴阳。无偏胜。
羌活 甘草（炙） 防风 防己 黄 蔓荆子 川芎 独活
细辛 枳壳 麻黄（去根） 地骨皮 人参 知母 甘菊 薄荷（去枝）
白芷 枸杞子 当归 杜仲（炒） 秦艽 柴胡 半夏（泡） 浓朴（姜制）
前胡 熟地黄（二十六味。各二两） 白茯苓 黄芩（各三两） 生地黄 苍术 石膏
芍药（各四两） 桂枝（一两）
上三十三味。重七十五两。 咀。每服一两。水二盏。煎至一盏。去渣温服。如遇天阴。加生
姜三片。煎。空心一服。临卧再煎渣服。俱要食远。空心咽下二丹丸。为之重剂。临卧咽下四白丸
。为之轻剂。立其法。是动以安神。静以清肺。○假令一气而微汗。用愈风汤三两、加麻黄一两。
匀作四服。每服加生姜五七片。空心服。以粥投之。得微汗则佳。○如一旬之通利。用愈风汤三两。
加大黄一两。亦匀作四服。每服生姜五七片。临卧煎服。得利为度。此药常服之。不可失于四时之
辅。○如望春大寒之后。本方中加半夏、人参、柴胡各二两。木通四两。谓迎而夺少阳之气也。○
如望夏谷雨之后。本方中加石膏、黄芩、知母各二
两。谓迎而夺阳明之气也。○如季夏之月。本方中加防己。白术、茯苓各二两。谓胜脾土之湿也。
○如初秋大暑之后。本方中加浓朴一两、藿香一两、桂一两。谓迎而夺太阴之气也。如望冬霜降之
后。本方中加附子、官桂各一两。当归二两。谓胜少阴之气也。○如得春气候减冬所加药。四时加
减类此。虽立此四时加减。更宜临病之际。审病之虚实。土地之所宜。邪气之多少。此药具七情六
欲四气。无使五脏偏胜。及不动于荣卫。如风秘服之则永不结燥。久泻服之能自调适。初觉风气。
能便服此药。及新方中天麻丸各一料。相为表里。治未病之圣药也。○若已病者。更宜常服。无问
男女、老幼、小儿风痫。急慢惊风。皆可服之。神效。如解利四时伤寒。隋四时加减法服之。果如
圣矣。
【四白丹】能清肺气。养魄。谓中风者多昏冒。气不清利也。
白术 砂仁 白茯苓 香附
防风 川芎 甘草 人参（各半两）
白芷（一两） 羌活 独活 薄荷（各二钱半）
藿香 白檀香（各一钱半） 知母 细辛（各二钱）
甜竹叶（二两） 麝香（一钱。另研） 龙脑（另研） 牛黄（各半钱。另研）
上二十味为末。蜜丸每两作十丸。临卧嚼一丸。分五七次细嚼之。煎愈风汤咽下。能上清肺气
。下强骨髓。
【二丹丸】治健忘、养神、定志、和血。内以安神。外华腠理。
丹参 天门冬 熟地黄（各一两半） 甘草
麦门冬（去心） 白茯苓（各一两） 人参 远志（去心）
朱砂（各半两研末为衣。气宜保命集内有） 菖蒲（一两）
上十味为末。蜜丸桐子大。朱砂为衣。每服五十丸至一百丸。空心食前。煎愈风汤送下。常服
安神定志。此治之法。一药安神。一药清肺。故清中清者。归肺以助天真。清中浊者。坚强骨髓。
浊中之清者。荣养于神。浊中之浊者。荣华腠理。
《黄帝内经》说：风是各种疾病的起始因素。风邪善于游走且变化迅速。“行”意味着运动。风的本质属热，当热势亢盛时就会引发风动（即热极生风）。应当用静定的方法来克制这种躁动，这就是养血的道理。治疗时需要避免过度发汗，也适宜适度通下。如果发汗过多，会耗伤卫气；如果攻下过度，会损伤营血。发汗和攻下都必须掌握适当的分寸，之后才适合治疗病在经络的情况。虽然有关于汗法和下法的禁忌，但中风有中脏腑和中经络的区别。病在中腑的适宜用汗法，病在中脏的适宜用下法。这虽然符合汗下之法，但也不可过度。张仲景说：发汗过多会导致亡阳，攻下过多会导致亡阴。亡阳会损伤元气，亡阴会损伤形体。所以《内经》说：血气是人的精神所在，不可不谨慎调养。
起初认为表里不和需要汗下之法，一旦表里调和，就适宜治疗其在经络的病证。其中中腑的症状是：面色显现五色异常，有表证且脉象浮，怕风怕冷，肢体拘急麻木不仁。或者身体后部受邪，或者身体前部受邪，或者身体侧面受邪，都称为中腑。这类病症大多容易治疗。其中中脏的症状是：口唇松弛不收，舌体转动不灵而失音，鼻子闻不到香臭，耳聋且视物模糊，大小便便秘结，都称为中脏。这类病症则难以治疗。
《内经》说：六腑功能不和，邪气留滞凝结成为痈肿；五脏功能不和，九窍就会不通畅。如果外部没有留滞凝结成痈，内部没有九窍不通，就知道病一定在经络。初起证候确定后，适宜用大药来滋养。应当根据时令来调节阴阳，安顿脏腑以调和营卫。很少有治不好的情况。风中于腑者，先用加减续命汤随证发散表邪。如果突然中脏，则大便多秘涩，适宜用三化汤通导积滞。表里证候已定，没有其他变端，所以用大药调和治疗。大抵中腑者多侵犯四肢，中脏者多阻滞九窍。虽然中腑者多兼有中脏的症状，但对于舌强失音，长期服用大药，也能自愈。
有感受风湿的患者，夏季多有发生。其症状是身体沉重如石，不能翻身侧卧，适宜服用祛风胜湿去热的方剂。如果无效，则用针灸治疗。现在阐述六经续命汤的治疗法则。
【小续命汤】通用治疗八风、五痹、痿厥等疾病。以一年为总体原则，以六经为区别。春夏季节加入石膏、知母、黄芩；秋冬季节加入官桂、附子、芍药。又在六经别药内，随证细分加减。自古以来的名医，治疗都不能超越这个范围。
麻黄（去节）、人参（去芦）、黄芩（去腐）、芍药、甘草（炙）、川芎、杏仁（去皮尖，炒）、防己、官桂（各一两）、防风（一两半）、附子（炮制去皮脐，半两）。以上十一味药，除了附子和杏仁外，捣成粗末，然后将这两味药加入混合均匀。每次服用五钱，用水一盏半，生姜五片，煎至一盏，去渣滓，稍热时服用，饭前服。
凡是治疗中风，如果不审察六经的形证进行加减，虽然治疗和不治疗没有区别。《内经》说：腠理开泄则感到寒冷战栗，腠理闭塞则发热且胸闷。知道暴感中风邪，适宜先用加减续命汤随证治疗。如果中风无汗恶寒，用麻黄续命汤主治。在本方中加倍使用麻黄、防风、杏仁。适宜针刺太阳经的至阴穴出血，以及昆仑穴、举跷穴。如果中风有汗恶风，用桂枝续命汤主治。在本方中加倍使用桂枝、芍药、杏仁。适宜针刺风府穴。以上两种证候，都是太阳经中风。如果中风无汗，身热但不恶寒，用白虎续命汤主治。在本方中加入石膏（二两）、知母（二两）、甘草（一两）。如果中风有汗，身热但不恶风，用葛根续命汤主治。在本方中加入葛根（二两），桂枝和黄芩各加倍。适宜针刺陷谷穴，刺厉兑穴。针刺陷谷穴是为了去除阳明经的贼邪，刺厉兑穴是为了泻除阳明经的实热。以上两种证候，都是阳明经中风。如果中风无汗身凉，用附子续命汤主治。在本方中加倍使用附子，干姜加至二两，甘草加至三两。适宜针刺隐白穴，以去除太阴经的贼邪。这一证候，是太阴经中风。如果中风有汗无热，用桂枝附子续命汤主治。在本方中加倍使用桂枝、附子、甘草。适宜针刺太溪穴。这一证候，是少阴经中风。
凡中风如果没有这四经六证的混淆，属于少阴、厥阴经病变，或者肢节挛痛，或者麻木不仁，用羌活连翘续命汤主治。在本方中加入羌活（四两）、连翘（六两）。上古时期的续命汤混淆没有分别，现在确立分经治疗，又分各经针刺，没有不治好的。治疗厥阴经的方法是在井穴大敦穴针刺以疏通经络；治疗少阳经的方法是在绝骨穴艾灸以引导热气。这是通经引热，是针灸同用的象意，是治疗的大体原则。
【大秦艽汤】治疗中风外部没有六经的形证，内部没有大小便的阻隔，由此可知是血虚不能濡养筋脉，所以手足不能运动，舌强不能语言，适宜用此药养血，筋脉自然得到荣养。
秦艽、石膏（各二两）、甘草、川芎、当归、芍药、羌活、独活、防风、黄芩、白术、白芷、茯苓、生地黄、熟地黄（各一两）、细辛（半两）。以上十六味药，切碎。每次服用一两，水二盏，煎至一盏，去渣滓，温服，不拘时候。如果遇到阴天，加生姜七片煎煮。如果心下痞满，每服一两加枳实一钱煎煮。这是秋冬用的方子，如果是春夏，加知母一两。凡是中风外部有六经的形证，先用加减续命汤，随证治疗。内部有大小便的阻隔，再用三化汤导下。
【三化汤】
厚朴（姜制）、大黄、枳实、羌活（各等分）。以上四味药切碎。每次服用三两，水三升，煎至一升半，全天服用，以轻微腹泻为度。如果内邪已除，外邪已尽，应当服用愈风汤，以行中和之道，久服大风悉去。即使有微邪，只从愈风汤加减治疗。然而治病的方法，不可失于通塞。有时让一气微微出汗，有时让一旬通畅便利，这才是常治之法。久而久之，清浊自然分开，营卫自然调和。
【羌活愈风汤】治疗肾肝虚损，筋骨软弱，语言困难，精神昏愦，这是中风湿热导致体内虚弱，表现为风热体重。或者瘦人手臂肢体偏枯，或者肥人半身不遂，或者恐惧健忘，喜欢多思虑。思虑遗忘的途径，都是因为精气不足。所以心乱则百病生，心静则万病息。因此此药能安心养神，调节阴阳，没有偏胜。
羌活、甘草（炙）、防风、防己、黄芪、蔓荆子、川芎、独活、细辛、枳壳、麻黄（去根）、地骨皮、人参、知母、甘菊、薄荷（去枝）、白芷、枸杞子、当归、杜仲（炒）、秦艽、柴胡、半夏（泡）、厚朴（姜制）、前胡、熟地黄（以上二十六味，各二两）、白茯苓、黄芩（各三两）、生地黄、苍术、石膏、芍药（各四两）、桂枝（一两）。以上三十三味药，总重七十五两。切碎。每次服用一两，水二盏，煎至一盏，去渣温服。如果遇到阴天，加生姜三片煎煮。空腹服一次，临睡前再煎渣服用。都要在饭后很久服用。空腹咽下二丹丸，作为重剂；临睡前咽下四白丸，作为轻剂。确立的法则是：动以安神，静以清肺。假设一气而微微出汗，用愈风汤三两，加麻黄一两，匀分为四服，每服加生姜五七片，空腹服，用粥送下。得到微汗为佳。如果是一旬的通利，用愈风汤三两，加大黄一两，也匀分为四服，每服生姜五七片，临睡前煎服，以得利为度。此药常服，不可失去四季的辅助。例如望春大寒之后，本方中加入半夏、人参、柴胡各二两，木通四两，这是为了迎而夺少阳之气。例如望夏谷雨之后，本方中加入石膏、黄芩、知母各二两，这是为了迎而夺阳明之气。例如季夏之月，本方中加入防己、白术、茯苓各二两，这是为了胜脾土之湿。例如初秋大暑之后，本方中加入厚朴一两、藿香一两、桂一两，这是为了迎而夺太阴之气。例如望冬霜降之后，本方中加入附子、官桂各一两，当归二两，这是为了胜少阴之气。例如得春气候减去冬季所加的药物，四季加减类似如此。虽然设立此四季加减，更宜在患病之际，审察病的虚实，土地之所宜，邪气的多少。此药具备七情六欲四气，不要使五脏偏胜，也不扰动营卫。如风秘服之则永不结燥，久泻服之能自调适。初觉风气，能便服此药，及新方中天麻丸各一料，相为表里，是治未病的圣药。如果已经生病，更宜常服，无论男女老幼，小儿风痫，急慢惊风，都可以服用，神效。如解利四时伤寒，依四季加减法服用，果然如圣。
白术、砂仁、白茯苓、香附、防风、川芎、甘草、人参（各半两）、白芷（一两）、羌活、独活、薄荷（各二钱半）、藿香、白檀香（各一钱半）、知母、细辛（各二钱）、甜竹叶（二两）、麝香（一钱，另研）、龙脑（另研）、牛黄（各半钱，另研）。以上二十味药为末，蜜丸，每两作十丸。临睡前嚼服一丸，分五七次细细咀嚼，煎愈风汤送下。能上清肺气，下强骨髓。
丹参、天门冬、熟地黄（各一两半）、甘草、麦门冬（去心）、白茯苓（各一两）、人参、远志（去心）、朱砂（各半两研末为衣，气宜保命集内有）、菖蒲（一两）。以上十味药为末，蜜丸桐子大，朱砂为衣。每次服用五十丸至一百丸，空心食前，煎愈风汤送下。常服安神定志。这是治法之一药安神，一药清肺。所以清中之清者，归肺以助天真；清中之浊者，坚强骨髓；浊中之清者，荣养于神；浊中之浊者，荣华腠理。
The *Classic of Difficult Issues* (Jing) states: Wind is the beginning of all diseases. It moves swiftly and changes frequently. "Movement" implies motion. The nature of wind is heat; when heat prevails, wind arises (heat extreme generates wind). One should use stillness to overcome restlessness; this is nourishing blood. Treatment requires avoiding excessive sweating and also appropriating mild purgation. Excessive sweating empties Wei Qi (Defensive Qi); excessive purgation damages Ying Blood (Nutritive Blood). Sweating and purging must each be applied appropriately, after which one may treat the disease in the meridians. Although there are warnings against sweating and purging, there is a distinction between involvement of the Zang organs and Fu organs. Involvement of the Fu organs is suitable for sweating methods; involvement of the Zang organs is suitable for purging methods. Although this conforms to sweating and purging, it must not be excessive. Zhang Zhongjing said: Excessive sweating leads to loss of Yang; excessive purging leads to loss of Yin. Loss of Yang damages Qi; loss of Yin damages Form. Therefore, the Classics state: Blood and Qi are the spirit of humans; they must not fail to be carefully nourished.
Initially, if exterior and interior are disharmonious, sweating and purging are required. Once exterior and interior are harmonized, treatment should focus on the meridians. Symptoms of Fu organ involvement include: facial complexion showing five colors abnormally, exterior syndrome with floating pulse, aversion to wind and cold, stiffness and numbness. Whether the pathogen strikes the posterior, anterior, or lateral aspects of the body, it is called Fu organ involvement. Such diseases are generally easier to treat. Symptoms of Zang organ involvement include: flaccid lips and mouth, inability to move the tongue leading to aphasia, loss of smell, deafness, blurred vision, constipation of both stool and urine. This is called Zang organ involvement. Such diseases are difficult to treat.
The *Classic* states: Disharmony of the six Fu organs leads to stagnation and accumulation forming abscesses; disharmony of the five Zang organs leads to obstruction of the nine orifices. If there is no external stagnation forming abscesses and no internal obstruction of the nine orifices, the disease must be in the meridians. Once the initial symptoms are confirmed, it is appropriate to nourish with major herbs. One must adjust Yin and Yang according to the seasons, settle the Zang and Fu organs, and harmonize Ying and Wei Qi. There are few cases that do not heal. For wind striking the Fu organs, first use Modified Xuming Decoction to release the exterior according to the syndrome. If suddenly Zang organs are involved, feces are often constipated; Sanhua Decoction is appropriate to unblock stagnation. Once exterior and interior syndromes are stabilized without other complications, major herbs are used to harmonize and treat. Generally, Fu organ involvement affects the four limbs, while Zang organ involvement obstructs the nine orifices. Although Fu organ involvement often includes Zang organ symptoms, for tongue stiffness and aphasia, long-term use of major herbs can lead to self-healing.
For those with wind-dampness, common in summer, symptoms include heaviness like stone, inability to turn over. It is appropriate to take formulas that dispel wind, overcome dampness, and clear heat. If ineffective, acupuncture and moxibustion should be used. Now, the treatment methods for the Six Meridian Xuming Decoctions are explained.
[Xiao Xuming Tang / Minor Xuming Decoction] Universally treats disorders of Eight Winds, Five Bi, Wei Jue (flaccidity and cold limbs), etc. It takes the whole year as the general principle and the six meridians as distinctions. Add Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix) in spring and summer; add Guigui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Shaoyao (Paeoniae Radix Alba) in autumn and winter. Further subdivide and modify within the specific herbs for each meridian. Ancient famous physicians could not transcend this method.
Mahuang (Ephedrae Herba, removed nodes), Renshen (Ginseng Radix, removed rhizome), Huangqin (Scutellariae Radix, removed rot), Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chuanxiong (Chuanxiong Rhizoma), Xingren (Armeniacae Semen Amarum, peeled and tip removed, stir-fried), Fangji (Stephaniae Tetrandrae Radix), Guigui (Cinnamomi Cortex, 1 liang each), Fangfeng (Saposhnikoviae Radix, 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, navel removed, 0.5 liang). These eleven ingredients, except Fuzi and Xingren, are crushed into coarse powder. Then add these two and mix evenly. Take 5 qian per dose, with 1.5 zhan of water and 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 1 zhan, remove dregs, drink slightly warm before meals.
In treating stroke, if one does not examine the manifestations of the six meridians for modifications, treatment is no different from no treatment. The *Neijing* says: When couli (pores) open, one feels chilly; when closed, one feels hot and stifled. Knowing sudden wind-stroke, one should first treat with Modified Xuming Decoction according to the syndrome. If stroke presents with no sweat and aversion to cold, Mahuang Xuming Tang governs. Add double the amount of Mahuang, Fangfeng, and Xingren to the base formula. Acupuncture at Zhiyin (BL67) of the Bladder Meridian for bleeding, Kunlun (BL60), and Juqiao is indicated. If stroke presents with sweat and aversion to wind, Guizhi Xuming Tang governs. Add double the amount of Guizhi (Cinnamomi Ramulus), Shaoyao, and Xingren to the base formula. Acupuncture at Fengfu (GV16) is indicated. Both above syndromes are Wind-Stroke of the Taiyang Meridian. If stroke presents with no sweat, fever but no aversion to cold, Baihu Xuming Tang governs. Add Shigao (2 liang), Zhimu (2 liang), Gancao (1 liang) to the base formula. If stroke presents with sweat, fever but no aversion to wind, Gegen Xuming Tang governs. Add Gegen (Puerariae Lobatae Radix, 2 liang) to the base formula, and double Guizhi and Huangqin. Acupuncture at Xiangu (ST41) and piercing LiDui (ST45) is indicated. Puncturing Xiangu removes the thief-pathogen of the Yangming Meridian; piercing LiDui drains excess heat of the Yangming Meridian. Both above syndromes are Wind-Stroke of the Yangming Meridian. If stroke presents with no sweat and cool body, Fuzi Xuming Tang governs. Double Fuzi in the base formula, add Ganjiang (Zingiberis Rhizoma) 2 liang, Gancao 3 liang. Acupuncture at Yinbai (SP1) is indicated to remove the thief-pathogen of the Taiyin Meridian. This is Wind-Stroke of the Taiyin Meridian. If stroke presents with sweat and no heat, Guizhi Fuzi Xuming Tang governs. Double Guizhi, Fuzi, and Gancao in the base formula. Acupuncture at Taixi (KI3) is indicated. This is Wind-Stroke of the Shaoyin Meridian.
If stroke does not confuse these four meridians and six syndromes, but belongs to Shaoyin and Jueyin meridians, with joint spasms or numbness, Qianghuo Lianqiao Xuming Tang governs. Add Qianghuo (Notopterygii Rhizoma et Radix, 4 liang), Lianqiao (Forsythiae Fructus, 6 liang) to the base formula. Ancient Xuming Decoctions were confused and undifferentiated; now we establish meridian-specific treatment and corresponding acupuncture points, ensuring cure. For Jueyin Meridian, puncture the Jing-Well point Dacun (LR1) to unblock the meridian. For Shaoyang Meridian, moxa Jiegu (GB39) to guide out heat. This is using acupuncture and moxibustion together to unblock meridians and guide heat, the general principle of treatment.
[Da Qin Jiao Tang / Major Qinjiao Decoction] Treats stroke where there are no exterior six-meridian syndromes and no interior obstruction of urination/defecation. This indicates blood deficiency failing to nourish sinews, causing immobility of limbs and tongue stiffness with aphasia. This formula nourishes blood so sinews naturally become prosperous.
Qinjiao (Gentianae Macrophyllae Radix), Shigao (Gypsum Fibrosum, 2 liang each), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fuling (Poria), Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Praeparata, 1 liang each), Xixin (Asari Radix et Rhizoma, 0.5 liang). These sixteen ingredients are chopped. Take 1 liang per dose, with 2 zhan of water, decoct to 1 zhan, remove dregs, take warm at any time. If cloudy weather, add 7 slices of Shengjiang. If epigastric fullness, add Zhishi (Aurantii Fructus Immaturus, 1 qian) per dose. This is an autumn/winter formula; for spring/summer, add Zhimu (1 liang). For stroke with exterior six-meridian syndromes, first use Modified Xuming Decoction according to syndrome. For interior obstruction of urination/defecation, use Sanhua Decoction to guide downward.
[Sanhua Tang / Three Transformations Decoction]
Houpo (Magnoliae Officinalis Cortex, ginger-processed), Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix) (equal parts). These four ingredients are chopped. Take 3 liang per dose, with 3 sheng of water, decoct to 1.5 sheng, take throughout the day, stop when slight diarrhea occurs. If internal pathogens are cleared and external pathogens exhausted, take Yufeng Tang to maintain the middle way. Long-term use expels major wind. Even minor pathogens can be treated by modifying Yufeng Tang. However, treatment methods must not neglect unblocking and draining. Sometimes induce slight sweating for one qi period; sometimes promote bowel movement for ten days. This is the constant method. Over time, clear and turbid separate, Ying and Wei harmonize.
[Qianghuo Yufeng Tang / Qianghuo Wind-Dispelling Decoction] Treats Kidney and Liver deficiency, weak sinews and bones, difficulty speaking, mental confusion. This is internal weakness due to wind-damp-heat, manifesting as heavy body due to wind-heat. Or thin person with hemiplegia of arm/leg; or fat person with hemiplegia; or fearful and forgetful, prone to overthinking. The path of forgetting stems from insufficient essence. Thus, chaotic heart generates hundred diseases; quiet heart stops ten thousand diseases. This formula calms the heart and nourishes spirit, regulates Yin and Yang without excess.
Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fangfeng (Saposhnikoviae Radix), Fangji (Stephaniae Tetrandrae Radix), Huangqi (Astragali Membranacei Radix), Manjingzi (Viticis Fructus), Chuanxiong (Chuanxiong Rhizoma), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Zhike (Aurantii Fructus), Mahuang (Ephedrae Herba, removed roots), Digupi (Lycii Cortex), Renshen (Ginseng Radix), Zhimu (Anemarrhenae Rhizoma), Ganju (Chrysanthemi Flos), Bohe (Menthae Haplocalycis Herba, removed branches), Baizhi (Angelicae Dahuricae Radix), Gouqizi (Lycii Fructus), Danggui (Angelicae Sinensis Radix), Duzhong (Eucommiae Cortex, stir-fried), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), Banxia (Pinelliae Rhizoma, soaked), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Qianhu (Peucedani Radix), Shudihuang (Rehmanniae Radix Praeparata) [26 ingredients, 2 liang each], Baifuling (Poria), Huangqin (Scutellariae Radix) [3 liang each], Shengdihuang (Rehmanniae Radix), Cangzhu (Atractylodis Rhizoma), Shigao (Gypsum Fibrosum), Shaoyao (Paeoniae Radix Alba) [4 liang each], Guizhi (Cinnamomi Ramulus, 1 liang). These 33 ingredients weigh 75 liang total. Chop them. Take 1 liang per dose, with 2 zhan of water, decoct to 1 zhan, remove dregs, take warm. If cloudy weather, add 3 slices of Shengjiang. Take one dose empty stomach, decoct dregs again before sleep. Take well after meals. Empty stomach, swallow Er Dan Wan (Two Cinnabar Pills) as heavy dose; before sleep, swallow Si Bai Wan (Four White Pills) as light dose. The principle is: Movement calms the spirit; Stillness clears the Lung. Assuming slight sweating for one qi period: Use 3 liang of Yufeng Tang, add 1 liang Mahuang, divide into 4 doses. Add 5-7 slices Shengjiang per dose, take empty stomach, follow with congee. Slight sweating is good. Assuming bowel movement for ten days: Use 3 liang Yufeng Tang, add 1 liang Dahuang, divide into 4 doses. Add 5-7 slices Shengjiang per dose, take before sleep, stop when loose stools occur. This medicine taken regularly must not miss seasonal assistance. E.g., after severe cold in spring, add Banxia, Renshen, Chaihu (2 liang each), Mutong (Akebiae Caulis, 4 liang) to welcome and drain Shaoyang Qi. E.g., after Grain Rain in summer, add Shigao, Huangqin, Zhimu (2 liang each) to welcome and drain Yangming Qi. E.g., in late summer, add Fangji, Baizhu, Fuling (2 liang each) to overcome Spleen Earth dampness. E.g., after great heat in early autumn, add Houpo, Huoxiang (Agastaches Herba), Guizhi (1 liang each) to welcome and drain Taiyin Qi. E.g., after frost in winter, add Fuzi, Guigui (1 liang each), Danggui (2 liang) to overcome Shaoyin Qi. E.g., in spring climate, reduce winter additions; seasonal modifications are similar. Although these seasonal modifications are established, one must judge deficiency/excess, local suitability, and pathogen quantity at the time of illness. This formula addresses Seven Emotions and Six Desires, Four Qi, preventing Zang excess and disturbing Ying/Wei. For wind-type constipation, it prevents dryness; for chronic diarrhea, it regulates. At first sign of wind, take this and Tianma Wan (Gastrodiae Rhizoma Pill) together as interior-exterior pair; these are holy medicines for preventing disease. If already ill, take regularly regardless of gender/age. Pediatric wind-seizures, acute/chronic convulsions can take it with divine effect. For resolving four-season colds, follow seasonal modifications; truly effective.
[Si Bai Dan / Four White Pellet] Clears Lung Qi, nourishes Po (Corporeal Soul). Stroke patients often suffer stupor due to unclear Qi.
Baizhu (Atractylodis Macrocephalae Rhizoma), Sharen (Amomi Fructus Rotundus), Baifuling (Poria), Xiangfu (Cyperi Rhizoma), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix) [0.5 liang each], Baizhi (Angelicae Dahuricae Radix, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Bohe (Menthae Haplocalycis Herba) [2.5 qian each], Huoxiang (Agastaches Herba), Baitanxiang (Santalum Album Lignum) [1.5 qian each), Zhimu (Anemarrhenae Rhizoma), Xixin (Asari Radix et Rhizoma) [2 qian each), Tianzhuyeq (Phragmitis Folium, 2 liang), Shexiang (Moschus, 1 qian, separately ground), Longnao (Borneolum Syntheticum, separately ground), Niuhuang (Bovis Calculus, 0.5 qian each, separately ground). Twenty ingredients powdered, honey pills, 10 pills per liang. Chew one pill before sleep, chew finely in 5-7 portions, swallow with decocted Yufeng Tang. Clears Lung Qi above, strengthens marrow below.
[Er Dan Wan / Two Cinnabar Pills] Treats forgetfulness, nourishes spirit, stabilizes will, harmonizes blood. Internally calms spirit, externally beautifies skin/couli.
Danshen (Salviae Miltiorrhizae Radix), Tianmendong (Asparagi Radix), Shudihuang (Rehmanniae Radix Praeparata) [1.5 liang each], Gancao (Glycyrrhizae Radix et Rhizoma), Maidong (Ophiopogonis Radix, removed heart), Baifuling (Poria) [1 liang each], Renshen (Ginseng Radix), Yuanzhi (Polygalae Radix, removed heart), Zhusha (Cinnabaris, 0.5 liang powdered for coating, see *Qi Yi Bao Ming Ji*), Changpu (Acori Tatarinowii Rhizoma, 1 liang). Ten ingredients powdered, honey pills sized like paulownia seeds, coated with Zhusha. Take 50-100 pills, empty stomach before meal, swallow with decocted Yufeng Tang. Regular use calms spirit and stabilizes will. This treatment uses one pill to calm spirit, one to clear Lung. Clear within clear goes to Lung to assist True Nature; Clear within turbid strengthens marrow; Turbid within clear nourishes Spirit; Turbid within turbid beautifies Couli.